| Doctor Name: | MS. SALLY ALICE HUTTON |
| NPI Number: | 1023233509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,ARNP |
| License Number: | AP30002497 |
| Business Practice Address: | 617 Benton Street Omak, WA - 98841 |
| Business Phone Number: | 5094227455 |
| Business Fax Number: | 5094227457 |
| Mailing Address: | Po Box 1192, TONASKET |
| State: | WA |
| Postal Code: | 988551192 |
| Phone Number: | 5094227455 |
| Fax Number: | 5094227457 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP30002497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |